Unifying Children's Surgery and Anesthesia Stakeholders Across Institutions and Clinical Disciplines: Challenges and Solutions from Uganda

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Unifying Children's Surgery and Anesthesia Stakeholders Across Institutions and Clinical Disciplines : Challenges and Solutions from Uganda

Kisa, Phyllis (författare): Makerere Univ, Sch Med, Dept Surg, Kampala, Uganda

Grabski, David F. (författare): Univ Virginia, Sch Med, Dept Surg, Charlottesville, VA 22908 USA

Ozgediz, Doruk (författare): Yale Univ, Sch Med, Dept Surg, New Haven, CT 06510 USA

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Ajiko, Margaret (författare): Karolinska Institutet

Aspide, Raffaele (författare): Surg Children, Vicenza, Italy

Baird, Robert (författare): Univ British Columbia, Dept Surg, Fac Med, Vancouver, BC, Canada

Barker, Gillian (författare): Uppsala universitet,Institutionen för kvinnors och barns hälsa

Birabwa-Male, Doreen (författare): Uganda Minist Hlth, Mulago Natl Referral Hosp, Kampala, Uganda

Blair, Geoffrey (författare): Univ British Columbia, Dept Surg, Fac Med, Vancouver, BC, Canada

Cameron, Brian (författare): McMaster Univ, Fac Hlth Sci, Dept Surg, Hamilton, ON, Canada

Cheung, Maija (författare): Yale Univ, Sch Med, Dept Surg, New Haven, CT 06510 USA

Cigliano, Bruno (författare): Surg Children, Vicenza, Italy

Cunningham, David (författare): KidsOR, Aberdeen, Scotland

D'Agostino, Sergio (författare): Surg Children, Vicenza, Italy

Duffy, Damian (författare): Univ British Columbia, Dept Surg, Fac Med, Vancouver, BC, Canada

Evans, Faye (författare): Harvard Med Sch, Dept Anesthesiol, Boston, MA 02115 USA

Fitzgerald, Tamara N. (författare): Duke Univ, Sch Med, Dept Surg, Durham, NC 27706 USA

Galiwango, George (författare): CORSU Rehabil Hosp, Kisubi, Uganda

Gerolmini, Domenico (författare): Surg Children, Vicenza, Italy

Gerolmini, Marcello (författare): Surg Children, Vicenza, Italy

Kakembo, Nasser (författare): Makerere Univ, Sch Med, Dept Surg, Kampala, Uganda

Kambugu, Joyce B. (författare): Uganda Canc Inst, Kampala, Uganda

Lakhoo, Kokila (författare): Univ Oxford, Dept Paediat Surg, Oxford, England

Langer, Monica (författare): Northwestern Univ, Sch Med, Dept Surg, Chicago, IL 60611 USA

Muhumuza, Moses Fisha (författare): CORSU Rehabil Hosp, Kisubi, Uganda

Muzira, Arlene (författare): Makerere Univ, Sch Med, Dept Surg, Kampala, Uganda

Nabukenya, Mary T. (författare): Makerere Univ, Sch Med, Dept Anesthesiol, Kampala, Uganda

Naik-Mathuria, Bindi (författare): Baylor Coll Med, Dept Surg, Houston, TX 77030 USA

Nakku, Doreen (författare): Mbarara Univ Sci & Technol, Dept Surg, Fac Med, Mbarara, Uganda

Nankunda, Jolly (författare): Makerere Univ, Sch Med, Dept Paediat & Child Hlth, Kampala, Uganda

Ogwang, Martin (författare): St Marys Lacor Hosp, Gulu, Uganda

Okello, Innocent (författare): Makerere Univ, Sch Med, Dept Surg, Kampala, Uganda

Penny, Norgrove (författare): Univ British Columbia, Fac Med, Dept Orthoped, Vancouver, BC, Canada

Reimer, Eleanor (författare): Univ British Columbia, Fac Med, Dept Anesthesiol, Vancouver, BC, Canada

Sabatini, Coleen (författare): Univ Calif San Francisco, Dept Orthoped Surg, San Francisco, CA 94143 USA

Sekabira, John (författare): Makerere Univ, Sch Med, Dept Surg, Kampala, Uganda

Situma, Martin (författare): Mbarara Univ Sci & Technol, Dept Surg, Fac Med, Mbarara, Uganda

Ssenyonga, Peter (författare): CURE Childrens Hosp Uganda, Mbale, Uganda

Tumukunde, Janat (författare): Makerere Univ, Sch Med, Dept Anesthesiol, Kampala, Uganda

Villalona, Gustavo (författare): St Louis Univ, Sch Med, Dept Surg, St Louis, MO USA

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(creator_code:org_t)

2019-01-07
2019
Engelska.
Ingår i: World Journal of Surgery. - : Springer Science and Business Media LLC. - 0364-2313 .- 1432-2323. ; 43:6, s. 1435-1449

Relaterad länk:: https://link.springe...; visa fler...; https://urn.kb.se/re...; https://doi.org/10.1...; http://kipublication...; visa färre...

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BackgroundThere is a significant unmet need for children's surgical care in low- and middle-income countries (LMICs). Multidisciplinary collaboration is required to advance the surgical and anesthesia care of children's surgical conditions such as congenital conditions, cancer and injuries. Nonetheless, there are limited examples of this process from LMICs. We describe the development and 3-year outcomes following a 2015 stakeholders' meeting in Uganda to catalyze multidisciplinary and multi-institutional collaboration.MethodsThe stakeholders' meeting was a daylong conference held in Kampala with local, regional and international collaborators in attendance. Multiple clinical specialties including surgical subspecialists, pediatric anesthesia, perioperative nursing, pediatric oncology and neonatology were represented. Key thematic areas including infrastructure, training and workforce retention, service delivery, and research and advocacy were addressed, and short-term objectives were agreed upon. We reported the 3-year outcomes following the meeting by thematic area.ResultsThe Pediatric Surgical Foundation was developed following the meeting to formalize coordination between institutions. Through international collaborations, operating room capacity has increased. A pediatric general surgery fellowship has expanded at Mulago and Mbarara hospitals supplemented by an international fellowship in multiple disciplines. Coordinated outreach camps have continued to assist with training and service delivery in rural regional hospitals.ConclusionCollaborations between disciplines, both within LMICs and with international partners, are required to advance children's surgery. The unification of stakeholders across clinical disciplines and institutional partnerships can facilitate increased children's surgical capacity. Such a process may prove useful in other LMICs with a wide range of children's surgery stakeholders.

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Kirurgi

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Unifying Children's Surgery and Anesthesia Stakeholders Across Institutions and Clinical Disciplines : Challenges and Solutions from Uganda

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